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The role of cardiac catheterisation in patients with tetralogy of Fallot*

Published online by Cambridge University Press:  09 January 2014

Gary E. Stapleton
Gary E. Stapleton*
Affiliation:
Division of Pediatric Cardiology, All Children's Heart Institute, Outpatient Care Center, St. Petersburg, Florida, United States of America
*
Correspondence to: Dr Gary E Stapleton, MD, All Children's Heart Institute, Outpatient Care Center, 2nd Floor, 601 5th Street South, St. Petersburg Florida 33701, United States of America. +1 Tel: 727 767 3333; Fax: +1 727 767 8990; E-mail: [email protected]
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Abstract

Cardiac catheterisation plays an important role in the management of patients with tetralogy of Fallot. There are a number of palliative transcatheter interventions that can be performed in the neonatal period to allow for improved oxygen saturations and interval growth of the pulmonary arteries until corrective surgery is performed. Most patients develop branch pulmonary artery stenosis, right ventricular outflow tract obstruction, pulmonary insufficiency, or significant residual left-to-right shunts during long-term follow-up after corrective surgery. Transcatheter interventions can be performed to treat many of these issues, often eliminating or delaying the need for subsequent surgery. The indications for cardiac catheterisation and the specifics for various interventional procedures for patients with tetralogy of Fallot are reviewed in this manuscript.

Keywords

Cardiac catheterisationtetralogy of Fallot
Type
Original Article
Information
Cardiology in the Young , Volume 23 , Issue 6: HeartWeek 2013 , December 2013 , pp. 883 - 887
Copyright
Copyright © Cambridge University Press 2013 

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Footnotes

*

Presented at “The Birth of Heart Surgery: Lessons Learned from Tetralogy – Past, Present and Future” Dinner Symposium Sponsored by Johns Hopkins Medicine and All Children's Hospital, Thursday, February 21, 2013, at The Sixth World Congress of Paediatric Cardiology and Cardiac Surgery, Cape Town International Convention Centre, Cape Town, South Africa, February 17–22, 2013. A video of this presentation can be viewed at the following hyperlink: [http://www.allkids.org/wcpccs].

References

1.Barnades, RJ, Marchiori, E, Bernardes, PM, et al. A comparison of magnetic resonance angiography with conventional angiography in the diagnosis of tetralogy of Fallot. Cardiol Young 2006; 16: 281–288.Google Scholar
2.Antonetti, I, Lorch, D, Coe, B, et al. Unrepaired tetralogy of Fallot with major aortopulmonary collateral arteries in an adult patient. Congenit Heart Dis 2011; 8: E24–E30.CrossRefGoogle Scholar
3.Kenny, D, Berman, D, Zahn, E, et al. Variable approaches to arterial duct stenting in infants with complex congenital heart disease. Catheter Cardiovasc Interv 2012; 79: 125–130.CrossRefGoogle ScholarPubMed
4.Alwi, M, Choo, KK, Latif, HA, et al. Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiol 2004; 44: 438–445.Google Scholar
5.Santoro, G, Palladino, MT, Capozzi, G, et al. Pulmonary artery growth following arterial duct stenting in congenital heart disease with duct-dependent pulmonary circulation. Catheter Cardiovasc Interv 2009; 74: 1072–1076.Google Scholar
6.Sivakumar, K, Bhagyavathy, A, Coelho, R, et al. Longevity of neonatal ductal stenting for congential heart diseases with duct-dependent pulmonary circulation. Congenit Heart Dis 2012; 7: 526–533.CrossRefGoogle Scholar
7.Vida, VL, Speggiorin, S, Maschietto, N, et al. Cardiac operations after patent ductus arteriosus stenting in duct dependent pulmonary circulation. Ann Thorac Surg 2010; 90: 605–609.CrossRefGoogle ScholarPubMed
8.Moszura, T, Ostrowska, K, Dryzek, P, et al. Late emergency arterial duct stenting in a patient with tetralogy of Fallot and occluded Blalock–Taussig shunt. Cardiol J 2011; 18: 87–89.Google Scholar
9.Laudito, A, Bandisode, VM, Lucas, JF, et al. Right ventricular outflow tract stent as a bridge to surgery in a premature infant with tetralogy of Fallot. Ann Thorac Surg 2006; 81: 744–746.CrossRefGoogle Scholar
10.Dohlen, G, Chaturvedi, RR, Benson, LN, et al. Stenting of the right ventricular outflow tract in the symptomatic infant with tetralogy of Fallot. Heart 2009; 95:142–147.Google Scholar
11.Cholkraisuwat, E, Lertsapcharoen, B, Khonphatthanayothin, A, et al. Balloon pulmonary valvuloplasty in tetralogy of Fallot: effects on growth of pulmonary annulus and transannular patch. J Med Assoc Thai 2010; 93: 898–902.Google ScholarPubMed
12.Robinson, JD, Rathod, RH, Brown, DW, et al. The evolving role of intraoperative balloon pulmonary valvuloplasty in valve-sparing repair of tetralogy of Fallot. J Thorac Cardiovasc Surg 2011; 142: 1367–1373.Google Scholar
13.Tang, L, Zhou, Sh. Transcatheter occlusion of multiple aortopulmonary collateral arteries for post-operative heart failure in a patient with tetralogy of Fallot using the Amplatzer vascular plug and a detachable coil. Chin Med J 2011; 124: 951–953.Google Scholar
14.Petit, CJ, Gillespie, MJ, Harris, MA, et al. Relief of branch pulmonary artery stenosis reduces pulmonary valve insufficiency in a swine model. J Thorac Cardiovasc Surg 2009; 138: 382–389.Google Scholar
15.Law, MA, Shamszad, P, Nugent, AW, et al. Pulmonary artery stents: long-term follow up. Catheter Cardiovasc Interv 2010; 75: 757–764.Google Scholar
16.Angtuaco, MJ, Sachdeva, R, Jaquiss, RD, et al. Long-term outcomes of intraoperative pulmonary artery stent placement for congenital heart disease. Catheter Cardiovasc Interv 2011; 77: 395–399.Google Scholar
17.Law, MA, Breinholt, JP, Shamszad, P, et al. The outcome of pulmonary artery stents following surgical manipulation. Catheter Cardiovasc Interv 2011; 77: 390–394.Google Scholar
18.Glatz, AC, Zhu, X, Gillespie, MJ, et al. Use of angiographic CT imaging in the cardiac catheterization laboratory for congenital heart disease. JACC Cardiovasc Imaging 2010; 3: 1149–1157.CrossRefGoogle ScholarPubMed